Applications for ST1 and ST2

Considering applying to paediatrics? This page contains information about applying for ST1 and ST2 posts, including the application process, person specifications and guidance.

We hope you find the information on these pages helpful. If after reading this information you have any further queries please contact the Specialty Recruitment Office on

Not what you were looking for? Go to the ST3 and ST4 recruitment page.

ST1 and ST2 Selection

Applications for ST1 and ST2 will open on 9 November 2016 and close at 4pm on 1 December 2016.

The recruitment round will include posts for England, Northern Ireland, Scotland and Wales at ST1 and ST2 level.

Details and updated guidance will be posted here from late October 2016.

If you would like to see the 2015/16 advert, it can be viewed here: ST1 and ST2 advert (PDF, 297 KB)

N.B. All guidance below is for the 2015/16 round and will be updated before applications open in November 2016.

The following information is for the 2015/16 round for ST1 and ST2 posts

  1. shutterstock_65225542.jpgCompetition ratios
  2. Application process
  3. The Oriel Application system
  4. 2015 Post numbers and interview dates
  5. Person specifications
  6. Application form
  7. Foundation competences
  8. Guidance for applicants
  9. Preparing your portfolio for interview
  10. Deferred entry
  11. Information for overseas nationals
  12. Broad based training programme
  13. Academic Clinial Fellows
  14. Contact us

1. Competition ratios

ST1 and ST2 competition ratios 2015 (PDF, 323 KB)

RCPCH strongly advises that you consider competition ratios for information only. As you will see they change annually and so we would always recommend making an application based on where you genuinely wish to work. You can find competition ratios for other specialties on the HEE specialty training website.

2. Application process

Applicants will make a single application via the Oriel application system to a single deanery/LETB. Applicants will ONLY be considered for offers within this single deanery/LETB (unless eligible for the clearing round). On the online application form, applicants will be given the opportunity to select up to an additional three deaneries/LETBs, these are solely for use by the RCPCH if your first preference deanery/LETB exceeds interview capacity (you will not be considered for offers in these additional deaneries/LETBs).


Once applications close, applicants are progressed to the longlisting stage to assess their eligibility against a range of criteria outlined in the person specification. These include right to work in the UK, previous specialty experience and GMC/Fitness to Practise status. Each deanery/LETB is responsible to undertake longlisting for their applicants.


Eligible applicants are considered by their first preference deanery/LETB, using the national shortlisting framework in order to determine a rank if required.

At ST1 all eligible applicants will be offered an interview. Since 2011 all eligible ST1 applicants have been offered an interview in the single deanery/LETB to which they applied. However, in the event that the number of eligible applications extends beyond the maximum interviewing capacity of a deanery/LETB, a shortlisting rank will be used to place applicants in another deanery/LETB that does have interview spaces left. Wherever possible applicants would then be interviewed in their 2nd, 3rd or 4th deanery/LETB location as stated on the application form.

Due to the limited availability of posts at ST2, we do not guarantee interviews for all eligible applicants. Instead invites to interview are based on the interview capacity and the number of posts available in each single deanery/LETB. At ST2 level applications will not be transferred to other deaneries/LETB's.

Following interview

All appointable applicants will be ranked, in accordance with their interview score, within the single deanery/LETB applied to. Offers will be made accordingly .If an applicant is found to be appointable at interview, but did not rank highly enough to receive an offer in that deanery/LETB due to post numbers, the applicant will be eligible for the national clearing round (subject to post availability).

3. The Oriel application system

The UK health departments have been working with trainee doctors and other stakeholders to put in place an offers process allowing applicants to receive all their specialty training offers electronically.  The process for making offers for specialty training posts will co-ordinate all first offers across all specialties so that applicants can accept, reject or hold an offer.

Accessing the Oriel Application System

All specialties/deaneries/LETB's will be using the Online Oriel Application System to coordinate the full application process all the way from application through to offers. If you wish to apply for a paediatric speciatly training post you will need to register on the Oriel Application System before you can submit an application. RCPCH advises that you register on Oriel well in advance of the application window opening.

Selecting and submitting preferences on Oriel

During the selection process, you will be asked to specify your preferences/sub-preferences. Depending on the specialty you have applied to, a preference may mean a deanery/LETB (e.g. West Midlands) or it may refer to a specific programme available at the single deanery/LETB applied to (e.g. Birmingham Children's Hospital).

You will have the facility to view the different preferences/sub-preferences available to you via your applicant dashboard on Oriel. Full instructions on how to select and submit preferences will be available on the preference page and the in the Oriel User Guide. Please note there will be specific timeframes by which you must select your preferences.

Your preferences along with your final rank are used to determine which offer, if any, you receive. If you are deemed appointable after interview, then you may be made an offer of your highest available preference.  The higher you are ranked at interview, the more likely you are to be offered one of your higher preferences, although all offers are subject to eligibility and post availability. 

If you are not prepared to accept an offer of training in a certain location, then you should not select this as one of your preferences.

By ranking a preference (deanery/LETB or specific programmes within a deanery/LETB), you are stating that you would be prepared to undertake a training programme in that area, if none of your other preferences are available to you. It is important that you think carefully about this choice when applying for posts. Interview panels will not have access to your preferences.

Please read the programme descriptions carefully or if required, please contact the individual deanery/LETB for further information on their available programmes.

Receiving an offer on the Oriel Application System

If you receive an offer through Oriel, you will be able to accept, reject or hold the offer until a set date. This date will be clearly identified if you receive an offer. You will have 48 hours from the time your offer is made, excluding weekends but not bank holidays, to decide whether to accept, reject or hold it. By responding, you accept certain conditions.

If you intend to reject an offer, please do so as soon as possible as this will allow the offer to be made to another applicant. If you were not offered a post in the initial release of offers, this does not mean you will not be offered one later on, as offers are recycled if other applicants reject them.


If you receive an offer through Oriel, if you choose to accept or hold an offer AND opt in for upgrades, you will automatically receive an upgrade if available.  This means that should one of your higher ranked preferences become available in the deanery/LETB where you have held or accepted an offer, you will automatically be upgraded to this offer with no option to revert to your original offer.

You can opt out of upgrades at any point and this option is on your applicant dashboard on Oriel. If you chose to accept or hold your offer with upgrades, then you will be directed to an additional page, which shows you all your higher preferences. You will be able to edit your higher preferences at this point by opting out of ones you are no longer interested in.

Upgrading will continue until 4.00 pm 24 March 2016 for CT1/ST1 and CT2/ST2 core and run-through training posts. 

4. Post numbers and interview dates

Indicative post numbers and interview dates can be found on the ST 2016 Deanery information page. This information is subject to change, so you are advised to check it regularly.

5. Person specifications

Before applying for an ST post you are advised to ensure you meet the the requirements outlined in the appropriate person specification.

ST1 2016 Paediatric Person Specification (PDF, 355 KB) .

ST2 2016 Paediatric Person Specification (PDF, 347 KB) 

With regards to GMC status: you must be registered with, and licensed by, the GMC by the intended start date of the post you are applying for. You do not need to be registered or licensed by the GMC at the time of application.  

6. Application form

You must complete your paediatric specialty application online via Oriel. Applicants can find out more about completing the application in the Oriel Applicant User Guide 2016 (PDF, 1045 KB). Other Oriel guidance documents can be found in the resource bank on Oriel.

The application opened at 10:00 am Wednesday 11 November 2015.

7. Foundation competences

Applicants to specialty training at CT1/ST1 must demonstrate all the competences listed in the Foundation Curriculum, without exception. The possession of all the Foundation Competences is an essential criteria in CT1/ST1 person specifications because they are needed to help successful applicants cope with, and progress through the clinical experience that forms part of their specialty training. They are key attributes that ensure patient safety, in particular those relating to the recognition and management of the acutely ill patient, resuscitation and end of life care.

Foundation competences can be demonstrated in three ways:

A. Currently on a foundation programme: If you are undertaking a recognised foundation programme in the UK which is due to finish in August 2016, you will be asked to confirm the name of your Foundation School on the application form. You do not need to submit any evidence with your application to confirm this and you DO NOT need to complete the Alternative Certificate.

B. Already completed a Foundation Programme: If you have already completed a UK Foundation Programme we will ask you to confirm that you have been awarded a FACD 5.2, signed no earlier than 1st January 2013.You MUST upload and attach a scanned copy of your FACD 5.2 (Foundation Completion Certificate) to your application before submission

C. Anybody who is not in either A or B above: If you have not undertaken a UK Foundation programme on or after 1st January 2013, you will be required to submit a completed 2016 Alternative Certificate of Competency (PDF, 154 KB) signed by a consultant who has supervised you for at least 3 months (continuous period) since 1st August 2013. You MUST upload and attach scanned copies of the alternative certificate(s) to your application before submission. You will be expected to provide the original alternative certificate(s) at interview.

For further information on Foundation Competences please refer to the applicant guides.

Signatory Guide - Evidence of Foundation Competence 2016 (PDF, 22.9 KB)

Signatory Example (MS Word)

Applicant Guide - Evidence of Foundation Competence 2016 (MS Word)

Applicant Example (MS Word)

8. Guidance for applicants

We recommend that you read the following guidance documents, which have been designed to assist you throughout the selection process from application through interview and offers.

RCPCH Applicant Guide 2016 (PDF, 8.14MB)

HEE Applicant Handbook 2016 (PDF, 664 KB)

Oriel Applicant Guide 2016 (PDF, 1045 KB)

Shortlisting Framework 2016 (PDF, 724 KB)

Interview Framework 2016 (PDF, 1.38 MB)

Additional documentation required at time of application

Re-entry into training: All applicants who have previously been removed or resigned from the specialty training programme that are applying to re-enter must submit (on Oriel) at the point of application, a completed and appropriately signed Support for reapplication (re-entry) form (Word, 76KB). Any applicants who require this form but fail to submit with their application will be longlisted out of the process. This document is an eligibility requirement that must be adhered to.

Re-application to paediatric training in a different region: All applicants who are currently training in paediatrics (NTN holders) but wish to reapply to paediatric training programmes with the intention of changing deanery/LETB must complete the Support for reapplication to same specialty (NTN holders) form (Word,75KB). Any applicants who require this form but fail to submit with their application will be longlisted out of the process. This document is an eligibility requirement that must be adhered to.

9. Preparing your portfolio for interview

The specific list of documents we require from your portfolio can be found in the Interview Guidance. If you do not have a portfolio (e.g. Foundation Programme/Paediatric ePortfolio) you may find the below documents useful when collating the evidence needed for that section of the interview. In addition you are advised to look at the assessment pages to get more information about these assessments.

Case-Based Discussion (CBD)

Clinical Experience Evaluation Exercise (Mini-CEX)

Directly Observed Procedural Skills (DOPS)

Please note: These guides are subject to change. You are advised to check you are using the most recent version.

10. Deferred entry

Further to the Gold Guide (sixth edition), deferred entry may only be considered for statutory reasons (e.g. maternity, ill health).

If you are unsure whether you qualify for deferred entry please email the Specialty Recruitment Office on

11. Information for overseas nationals

Anyone wishing to work in the UK must have the sufficient immigration status to do so. RCPCH staff members are not regulated to provide immigration advice and so are prohibited from doing so. If you are unsure as to what your immigration status is or whether your immigration status deems you eligible to apply for a post, please contact UK Visas and Immigration (UKVI) or the Office of the Immigration Services Commissioner (OISC).

If you are subject to immigration control (including limited leave to remain), you will be required to provide evidence of your immigration status (biometric residence card, date stamped passport and/or identity card). All of these documents need to be dated as at or prior to the application closing date 3 December 2015. You should be aware that failure to meet the required standards, or provide sufficient information on your application form may result in your application being delayed or rejected.

Please note: it is the applicant’s responsibility to inform us of any changes to their immigration status during the process.

Please refer to the 'Right to work' and 'Annex C information for overseas nationals' sections of the 2016 HEE Applicant Handbook (PDF, 664 KB) for further information. 


UK/EEA nationals

Applicants who are UK/EEA (European Economic Area) nationals do not require special dispensation from the UK Home Office to take up a specialty training post in the UK. Although, there are instances where this guidance differs, for example Croatian nationals are not automatically entitled to take up specialty training. For specific details on working in the UK as a Croatian national, please visit the UKVI website.

Non-UK/EEA nationals (without restriction)

Applicants who are non-UK/EEA nationals, but whose immigration status entitles them to work without restriction in the UK, will be considered on an equal basis with UK and EEA nationals.

Non-UK/EEA nationals (with restriction)

Round 1 ST1 and ST2 applicants who are non-UK/EEA nationals with restrictions on working in the UK may not be eligible to apply for ST paediatric training, or may require a Certificate of Sponsorship (CoS) and be subject to the Resident Labour Market Test (RLMT) in order to take up a post. The RLMT stipulates that a non-UK/EEA national, whose visa paperwork holds restrictions on working in the UK, cannot be offered a post until the UKVI is satisfied that there are no remaining suitable domestic applicants to whom the post could be offered. We advise that you visit the following websites for further information before applying.

Please note: In the national round one timetable, ST1 and ST2 paediatric applicants who are subject to the resident labour market test may not be considered eligible to apply as offers made via clearing will not meet the deadline date for Certificates of Sponsorship. Applicants are advised to apply in round 2 instead.

Further information on RLMT and sponsor guidance

Further information on switching immigration status, and to see whether you can switch within the UK

Categories that are not cited in the above guidance will require a “restricted” Certificate of Sponsorship (RCoS) from the sponsor. You will be required to return to your home country to make an application out of country. If you are unsure of the correct route to follow, please gain immigration advice from an authorised advisor/lawyer. We cannot provide advice regarding leave applications or immigration, please instead contact UK Visas and Immigration (UKVI). Applications requiring RCoS cannot be guaranteed as they are dependent on the monthly allocation panel and there are a limited number of places available.

RLMT Exemptions

Non UK/EEA nationals who have graduated from a UK medical or dental school will have an additional one off exemption from the RLMT when moving from their Foundation Programme (in Tier 4) directly into specialty training (in Tier 2). This is a one off exemption when switching from Tier 4 to Tier 2.

Nationally sponsored trainees (i.e. those sponsored by Health Education England or NHS Education for Scotland) requiring sponsorship for Core training/Higher Specialty Training will be classed as extension applications and will also be exempt from the RLMT within their sponsorship area. Please note: nationally sponsored trainees will need to meet the RLMT if and when they apply for posts outside of their sponsorship area.

12. Broad based training (BBT) programme

Further inforrmation on the Broad Based Training Programme

Please note: there will be no recruitment to BBT during the 2016 round.

13. Academic clinical fellow applications

Academic Clinical Fellowships are specialty training posts that incorporate academic training.  Academic Clinical Fellows (ACFs) spend 75% of their time undertaking specialist clinical training and 25% undertaking research or educationalist training.

Academic Clinical Fellow (ACF) posts are recruited locally, via deaneries/LETBs, not the RCPCH. The recruitment process for these posts in centrally coordinated via the National Institue for Health Reseach (NIHR) and further information can be found on their Trainees Coordinating Centre website.

ACF timeline

  • Application period: 10 October 2016 to 7 November 2016
  • Shortlisting/interview window: 9 November 2016 to 23 December 2016
  • Initial Offers Out: 9 January 2017
  • Hold Deadline: 16 January 2017

Further for further information on the ACF process please consult pages 8 and 33 and of the 2016 HEE Applicant Handbook (PDF).

Information on available posts and interview dates can be found via the relevant deanery/LETB website.

14. Contact us


Phone: 020 7092 6144